Individual
DR. GEORGE C PONTIKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 E OGDEN AVE, NAPERVILLE, IL 60563-8609
(630) 545-7565
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-3328
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
125.062148
IL
2086S0129X
Vascular Surgery Physician
Primary
036144518
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2012
Last updated
02/11/2021
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